Individual
MRS. JOYCE JOHNSON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2400 W 64TH ST, RICHFIELD, MN 55423-1001
(612) 400-6122
Mailing address
9120 SPRINGBROOK DR NW, BLAINE, MN 55433
(763) 400-6122
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6668
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9994
MN DEPARTMENT OF HEALTH
MN
Enumeration date
04/14/2010
Last updated
03/17/2018
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